7 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
, with: 1) heliotrope ... rash, 2) shawl ... sign, and 3) Gottron's ... HeliotropeRash #Gottrons ... Papules #Clinical #Photo
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
rash, shawl sign ... , and Gottron's ... rash, 2) shawl ... #dermatology #clinical ... #photo
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
in Dermatomyositis ... #Papules #Rash ... #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Hands #
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... including heliotrope ... rash, Shaw sign ... holster sign, and Gottron's ... see mechanics hands
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
• Periorbital heliotrope ... (blue-purple) rash ... • Erythematous rash ... shoulders (in a shawl ... #rheumatology #dermatology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
• Periorbital heliotrope ... shoulders (in a shawl ... interphalangeal joints: Gottron ... #AntiNXP2 #Dermatomyositis ... #rheumatology #dermatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
rash (Gottron papules ... and Gottron sign ... ) • Shawl sign ... • Heliotrope • ... • Mechanic's hands